An important update has been released for the Heart & Stroke Canadian Stroke Best Practice Recommendations (CSBPR): Secondary Prevention of Stroke Update 2020, replacing the previous update released in 2017. Stroke remains a leading cause of adult neurological disability, dementia and death globally.
The updated secondary prevention recommendations provide updated evidence and guidance for some existing recommendations. Significant revisions and new recommendations had been made in the following areas:
- Simplified recommendations for triage and initial assessment of acute TIA and minor stroke.
- Revisions to stroke workup.
- Updated recommendations for dual antiplatelet therapy for TIA and minor stroke; anticoagulant therapy for atrial fibrillation; embolic strokes of undetermined source; LDL lowering; hypertriglyceridemia; diabetes treatment; and PFO management.
- New sections have been added around guidance for temporary interruption of antithrombotic therapy for surgical procedures, and cancer-associated ischemic stroke.
- Sex differences are addressed where appropriate.
A section on virtual care delivery of secondary stroke prevention services in included to highlight a shifting paradigm of care delivery made more urgent by the global pandemic.
For more information about the Heart & Stroke Canadian Stroke Best Practice Recommendations visit: www.strokebestpractices.ca
Please see the archived Provincial Stroke Rounds which reviews the Canadian Stroke Best Practice Recommendations Secondary Prevention of Stroke Update 2020
Click the Link: https://youtu.be/QulKJZ7X1DU
The Northwestern Ontario Regional Stroke Network
Thunder Bay Regional Health Sciences CentreMedical Centre, 201-984 Oliver Road
Thunder Bay, ON P7B 7C7
phone: (807) 684-6703
fax: (807) 684-5883For more information, visit www.nwostroke.ca